Abstract:
BACKGROUND AND PURPOSE:Clinically significant post-transplantation lymphoceles are not uncommon. Surgical marsupialization with internal peritoneal drainage is the treatment of choice. We describe the successful laparoscopic formation of a peritoneal window for post-transplantation lymphocele drainage as an effective and minimally invasive procedure. PATIENTS AND METHODS:Between August 1995 and September 2001, 135 consecutive renal transplantations were performed, and 9 patients developed clinically significant lymphoceles. Four of the nine patients were treated by laparoscopic drainage via a peritoneal window. Analysis of predisposing risk factors commonly associated with lymphoceles was performed. The surgical outcome was assessed. RESULTS:Laparoscopic drainage was successful in all patients. The average operative time was 40 minutes. The mean hospital stay was 1.5 days for patients undergoing laparoscopic drainage versus 5 days for those having open surgical drainage. Accidental division of the right native ureter occurred in one patient, which was identified intraoperatively. None of the patients had developed recurrence of lymphocele after a mean follow-up of 10.7 months (range 6-22) months. CONCLUSION:In patients with a clinically significant post-transplantation lymphocele of appropriate size and location, laparoscopic drainage is easy, safe, and effective. It decreases hospital stay and hastens convalescence.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Abou-Elela A,Reyad I,Torky M,Meshref A,Morsi Adoi
10.1089/end.2006.20.904subject
Has Abstractpub_date
2006-11-01 00:00:00pages
904-9issue
11eissn
0892-7790issn
1557-900Xjournal_volume
20pub_type
杂志文章abstract:PURPOSE:To assess whether intravenous magnesium sulfate infusion affects analgesic requirements during monitored anesthesia care (MAC) for shockwave lithotripsy (SWL). PATIENTS AND METHODS:Fifty patients in ASA class I or II undergoing SWL with MAC were randomized into two groups. Induction of MAC was produced by bolu...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.0195
更新日期:2007-02-01 00:00:00
abstract:PURPOSE:To assess the efficacy, safety, and morbidity of tubeless percutaneous nephrolithotomy (PCNL) and compare it with standard PCNL. PATIENTS AND METHODS:A total of 135 patients (140 renal units) undergoing tubeless PCNL (group 1) from June 2000 to September 2007 were compared with a similar group of 185 (194 rena...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0338
更新日期:2008-07-01 00:00:00
abstract:PURPOSE:To determine whether the overall ureteral flow through an obstructed ureter using the 3F MicroStent™ that uses a novel film occlusion anchoring mechanism is comparable to the flow using a conventional 3F and 4.7F Double-J stent. MATERIALS AND METHODS:An in vitro silicone ureter model and an ex vivo porcine uri...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0722
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:During laparoscopic surgery, scissors are used to cut a variety of tissue, including fibrotic or calcified tissue, sutures, and occasionally tissue containing staples. Disposable scissors may become dull and ineffective. The purpose of this study is to compare the durability and ergonomics of thr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0654
更新日期:2009-08-01 00:00:00
abstract:PURPOSE:To demonstrate the safety and efficacy of percutaneous nephrolithotomy (PCNL) for management of large renal stones between single-functioning kidney and double-kidney patients. PATIENTS AND METHODS:Thirty single-functioning kidneys and 30 double-kidney patients with a mean age of 38.5 (±15.6) years in the sing...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0083
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVES:We developed minimal incision-assisted retroperitoneoscopic surgery (MARP) in an attempt to pursue optimized patient-related benefits. We evaluated the clinical value of MARP for upper urinary tract diseases compared with pure retroperitoneoscopic surgery (PRPS). PATIENTS AND METHODS:Between January 2003 an...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0480
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVES:Vesicovaginal fistula (VVF) is a common condition that physically and mentally debilitates the patient. In the developing countries such as India, it results mainly due to neglected obstetric care. Options for surgical repair of VVF consist of transvaginal, transvesical, laparoscopic repair. Endoscopic manag...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0557
更新日期:2010-10-01 00:00:00
abstract:PURPOSE:To present the combination of laparoscopy and nephroscopy for the treatment of stones in pelvic ectopic kidneys. PATIENTS AND METHODS:The series included seven male and four female patients (mean age 43 +/- 9 years). Laparoscopy-assisted percutaneous nephrolithotomy (PCNL) was performed for caliceal stones in ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.9930
更新日期:2007-10-01 00:00:00
abstract:PURPOSE:This study was to evaluate the effect of intraoperative continuous infusion of dexmedetomidine on intraocular pressure (IOP) in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALRP) in the steep Trendelenburg (ST). MATERIALS AND METHODS:Sixty-eight patients were randomly divided into tw...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2014.0381
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION:Double-J stents revolutionized the minimally invasive management of ureteral strictures, but have significant morbidity. We compare stent-related symptoms and quality of life between a conventional Double-J stent and a novel thermoexpandable metal segmental ureteral stent (Memokath) in patients with ureter...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0318
更新日期:2010-04-01 00:00:00
abstract:INTRODUCTION:Patients with ileal conduit urinary diversions are at an increased risk of long-term upper urinary tract (UUT) complications, including anastomotic strictures, infections, and urolithiasis. The reconstructed urinary system poses challenges for endoscopic manipulation. We present and describe our dual-cente...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0271
更新日期:2017-09-01 00:00:00
abstract::We report the ureteroscopic unroofing of a symptomatic peripelvic cyst with a holmium laser in a 37-year-old woman. At 1-year follow-up, the patient remains symptom free. Endoscopic management of peripelvic cysts is durable and can be performed safely. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0469
更新日期:2007-12-01 00:00:00
abstract:: Objective: To assess the effectiveness of laser lithotripsy in different holmium:yttrium aluminum garnet (Ho-YAG) laser settings with a wide range of energies, frequencies, and power. Materials and Methods: Two types of phantom...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0370
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Stones break better when the rate of shockwave (SW) delivery is slowed. It has been hypothesized that the greater cavitation accompanying a fast rate shields pulse propagation, thus interfering with the delivery of SW energy to the stone. We tested this idea by correlating waveforms measured at t...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.537
更新日期:2006-08-01 00:00:00
abstract:INTRODUCTION:Drugs and their metabolites are known factors in 1% to 2% of all kidney stones. Certain antiepileptic drugs are known to cause stone formation. Phenytoin is used as a first line antiepileptic therapy for many seizure disorders. We present what we believe to be the first report of a phenytoin metabolite uri...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0410
更新日期:2008-08-01 00:00:00
abstract:PURPOSE:The goal of this study is to identify the most efficient sweeping angle (SA) during photoselective vaporization of the prostate (PVP). MATERIALS AND METHODS:Experiments were conducted with GreenLight XPS™ laser at 120 and 180 W. Ten blocks of porcine kidney were used for each SA (0, 15, 30, 45, 60, 90, and 120...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0356
更新日期:2012-04-01 00:00:00
abstract:PURPOSE:To determine the feasibility of retrograde endoscopy after radical retropubic prostatectomy (RRP) and its effects on post-prostatectomy continence. PATIENTS AND METHODS:We retrospectively reviewed all patients who underwent RRP at our institution between 1999 and 2005, identifying those who subsequently requir...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0131
更新日期:2007-02-01 00:00:00
abstract:: Introduction: This exploratory retrospective analysis examined any potential prognostic role of preoperative neutrophil lymphocyte ratio (NLR) for progression-free survival (PFS) and time to endoscopically verified upper tract or bladder recurrence-free survival (RFS) in u...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0283
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:During laparoscopic nephrectomy (LPN), a stapling device is often used for vascular control, especially of the renal vein. Herein, we report our experience using a polymer clip (Hem-o-lok) for routine control of the vessels during LPN in the animal and clinical setting. PATIENTS AND METHODS:Fift...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904322836730
更新日期:2004-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Ablation by cold (cryoablation) or radiofrequency energy (RFA), has been popularized for the treatment of small renal tumors. Regrettably, there currently is no reliable method of radiologically monitoring the propagation of RF lesions in real time. Ultrasonography enhanced by gas-filled microbub...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.579
更新日期:2005-06-01 00:00:00
abstract:PURPOSE:To investigate the effect of metabolic syndrome (MS) and its components on the outcomes of transurethral resection of the prostate (TURP). PATIENTS AND METHODS:Fifty patients with MS and 50 without MS were enrolled for the study. Patients without MS were assigned to Group 1 and patients with MS were in Group 2...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0562
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic urologic surgery is not widely practiced in South Africa. After presenting a laparoscopic training course, we evaluated how effectively this training translated into clinical practice. SUBJECTS AND METHODS:Invitations to the course were sent to all South African urologists. Ten appl...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.1180
更新日期:2005-12-01 00:00:00
abstract:: Objective: The aim of this study was to introduce the "ultrathin parenchyma" resection in a robot-assisted partial nephrectomy (RAPN) via the retroperitoneal approach, and to assess the feasibility, security, and effectiveness of this technique. Me...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0698
更新日期:2020-03-01 00:00:00
abstract::We evaluated the safety and efficacy of high-intensity focused ultrasound (HIFU) using a modified Sonablate 200 and compared the clinical response with that of the prototype Sonablate at 6 months after treatment. Since 1995, 35 patients ages 66 +/- 7 years underwent HIFU with the Sonablate 200 for symptomatic benign p...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.197
更新日期:1997-06-01 00:00:00
abstract::Ureteral injury is an uncommon complication of cesarean section. As with all iatrogenic ureteral injuries, if the problem is not recognized intraoperatively, the manifestations may be protean. The management of ureteral injury that is first recognized in the early postoperative period must be individualized. We presen...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.345
更新日期:1994-10-01 00:00:00
abstract:PURPOSE:To compare the maximal active deflection capabilities of a newly designed dual-deflection ureteroscope with those of a standard flexible ureteroscope. MATERIALS AND METHODS:The dual-deflection ureteroscope is similar in design to single-deflection ureteroscopes with the addition of a second, more proximal unid...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904322959761
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Helical CT has become the preferred method for imaging urinary calculi, and so it would be useful if data from helical CT could also be used to predict the number of shockwaves (SWs) needed to break a given stone. METHODS AND MATERIALS:We measured the number of SWs required to comminute calcium ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.471
更新日期:2000-08-01 00:00:00
abstract:PURPOSE:Burst wave lithotripsy (BWL) is a transcutaneous technique with potential to safely and effectively fragment renal stones. Preclinical investigations of BWL require the assessment of potential renal injury. This study evaluates the capabilities of real-time ultrasound and MRI to detect and evaluate BWL injury t...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0202
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Current urologic laparoscopic procedures include preservation of locoregional nerve fibers. The use of electrical coagulation is limited because of tissue conductance of current and heat production. While ultrasonic coagulation does not use electricity, heat is still produced. We designed an anim...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0031
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Surgery continues to be the main form of treatment for patients with renal tumors. We create a more practical and intuitive score for renal tumor classification. PATIENTS AND METHODS:Eighty patients underwent surgery for renal tumors and were prospectively enrolled. The tumors were classified us...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0148
更新日期:2014-04-01 00:00:00